Impact of epilepsy on children and parents in Gabon

Ibinga, Euloge; Ngoungou, Edgard Brice; Olliac, Bertrand; Hounsossou, Cocou Hubert; Dalmay, François; Mouangue, Gertrude; Ategbo, S; Preux, Pierre‐Marie; Druet‐Cabanac, Michel

doi:10.1016/j.yebeh.2014.12.035

Cited by 14 publications

(10 citation statements)

References 35 publications

(49 reference statements)

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“…Because of the social weight, many children live hidden and cannot attend school, and in some cases, parents are forced to look for a school away from home, or even of changing schools to hide their child's disease. Ultimately, children end up dropping out of school 50 . These psychosocial problems are critical obstacles in the management of epilepsy because of the public's negative attitude towards PWE 63 .…”

Section: Discussionmentioning

confidence: 99%

Comorbidities of epilepsy in low and middle-income countries: systematic review and meta-analysis

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Preux

Gérard

et al. 2020

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charles ntamwira 2 & chung-Huang tsai 3 epilepsy is a major public health concern in low and middle-income countries (LMics) and comorbidities aggravate the burden associated with the disease. the epidemiology of these comorbidities has not been well described, although, identifying the main comorbidities of epilepsy, and their relative importance, is crucial for improving the quality of care. Comorbidities were defined as disorders coexisting with or preceding epilepsy, or else compounded or directly attributed to epilepsy or to its treatment. A meta-analysis of the proportion of main comorbidities by subcontinent as well as overall was also conducted. Out of the 2,300 papers identified, 109 from 39 countries were included in this systematic review. Four groups of comorbidities were identified: parasitic and infectious diseases (44% of comorbid conditions), somatic comorbidities (37%), psychosocial (11%), as well as psychiatric comorbidities (8%). Heterogeneity was statistically significant for most variables then random effect models were used. The most frequently studied comorbidities were:

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Section: Discussionmentioning

confidence: 99%

Comorbidities of epilepsy in low and middle-income countries: systematic review and meta-analysis

Aline

Preux

Gérard

et al. 2020

Sci Rep

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“…In our study, we show that marital status would influence positively schooling of CWE. This result could be explained by the difficulty in a single-parent household to care for a CWE with regard to the impact of this disease in the lives of parents and siblings [13].…”

Section: Discussionmentioning

confidence: 99%

Impact of knowledge, attitudes, and sociocultural factors on school enrollment of children with epilepsy in Gabon

Ibinga

Druet‐Cabanac

Revegue

et al. 2019

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Purpose: Perceptions, beliefs and culture influence attitude towards epilepsy in sub-Saharan Africa. Misconceptions on epilepsy contribute to the persistence of negative attitudes in children with epilepsy particularly on their school enrollment. The aim of the study was to assess knowledge, attitudes, and sociocultural factors affecting schooling of children with epilepsy in Gabon. Meth ods: Teachers and health workers from two urban and four rural localities of Gabon were assessed using a self-administered questionnaire. Results: Overall 1310 subjects filled the survey questionnaire, including 813 teachers and 497 health workers. Knowledge on risk factors and suggestive signs of childhood epilepsy were globally poor. Misconceptions on etiology of epilepsy were significant with contagiousness (27.5%) and demonic possession (16.0%) representing the major prevalent idea about the origin of epilepsy in children. Attitudes of teachers and health workers towards schooling of children with epilepsy were positive (85.0%). However, more than half recommended enrollment of these children in specialized school programs. In multivariate analysis, education level (OR = 1.40; 95% confidence interval 1.01-1.81) and marital status (OR = 1.62; 95% confidence interval 1.18-2.22) were sociocultural factors likely to affect chances of school enrollment of children with epilepsy. Conclusion: Understanding the influence of socio-cultural factors surrounding school enrollment of children with epilepsy could enhance public awareness campaigns about epilepsy and to improve school integration of these children.

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“…19 Our proportion of children in school (76.7%) was higher than that found by Ibinga et al in Gabon (63.0%), by Kouame-Assouan et al in Ivory Coast (35.6%), and by Mushi et al in Tanzania (50%). [21][22][23] This can be explained by the fact that enrolment in the study was made in a population of patients followed -up by neuropediatricians on one hand and, on the other hand, by the existence of some specialized schools in the city of Yaounde where the study was conducted.…”

Section: Discussionmentioning

confidence: 99%

“…25,26 All children in our study were receiving at least one antiepileptic drug, while Ibinga et al in Gabon reported that 42.2% of children in their study did not take any antiepileptic drugs. 21 The main antiepileptic drugs used in our study were carbamazepine, sodium valproate, and lamotrigine, respectively. This is different from what was noted by Ibinga et al In our study, the mean number of antiepileptic drugs prescribed was 1.3 + 0.5, with a statistically significant difference between the different groups of epileptic syndromes.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life of Epileptic Children at the Gynaeco-Obstetric and Pediatric Hospital in Yaounde, Cameroon

et al. 2019

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Aim:To evaluate the quality of life of epileptic children. Methods and Material:This descriptive cross-sectional study was undertaken from 1st January 2014 to 1st May 2014 in children aged 3-16 years with epilepsy who followed up in the pediatric neurology unit of the Yaounde Gynaeco-Obstetrics and Pediatric Hospital in Yaounde in Cameroon. Parents responded to the quality of life questionnaire for children with epilepsy, Results: Eighty-six patients with a mean age of 8.8 ± 4.2 years were included in the study. Epilepsy was associated with poor quality of life in 18 (20.9%) patients and was mainly in children with non-idiopathic generalized epilepsy, behavioral disorders, and cognitive deficits. Social, behavioral, cognitive and depressive disorders were noted in 43 (50%), 17 (19.8%), 23 (26.7%) and 55 (63.9%), respectively. In 17 (19.8%) children, clinical examination was abnormal. Twenty (23%) children were not attending school. Conclusion:Epileptic children have a decline in their quality of life, and this is multifactorial, and controlling epileptic seizures alone does not appear to be a sufficient factor to improve the quality of life of these children.

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Impact of epilepsy on children and parents in Gabon

Cited by 14 publications

References 35 publications

Comorbidities of epilepsy in low and middle-income countries: systematic review and meta-analysis

Comorbidities of epilepsy in low and middle-income countries: systematic review and meta-analysis

Impact of knowledge, attitudes, and sociocultural factors on school enrollment of children with epilepsy in Gabon

Quality of Life of Epileptic Children at the Gynaeco-Obstetric and Pediatric Hospital in Yaounde, Cameroon

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